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目的:探讨对无痛人工流产术的患者进行围手术期心理护理联合健康教育的临床效果,为临床护理提供依据。方法:选取2014年6月-2016年6月于宁波市北仑区中医院收治的行人工流产手术的患者240例,根据收治时间不同将患者分为观察组(n=120)与对照组(n=120),给予对照组患者常规围手术期护理措施,观察组患者在常规围手术期护理基础上给予心理护理联合健康教育,对两组患者护理前后焦虑评分(HAMA)、术后并发症、人工流产综合征发生率及护理满意度情况进行比较。结果:护理前,两组患者的HAMA评分比较差异无统计学意义(P>0.05);与护理前相比,两组患者护理后HAMA评分明显降低,差异均有统计学意义(P<0.05),与对照组相比,观察组护理后HAMA评分明显降低,差异具有统计学意义(P<0.05);在人工流产综合征及术后并发症方面,观察组与对照组相比均明显降低,差异具有统计学意义(P<0.05);观察组护理满意度为96.7%,对照组护理满意度为80.8%,观察组与对照组相比,差异具有统计学意义(P<0.05)。结论:对进行无痛人工流产术的患者进行围手术期心理护理联合健康教育有助于患者焦虑情绪的消除,对患者身心状态起到改善作用,同时能够降低并发症发生率,提高患者护理满意度,值得临床进一步推广。
Objective: To investigate the clinical effect of perioperative psychological nursing combined with health education in patients with painless abortion, and provide the basis for clinical nursing. Methods: A total of 240 cases of induced abortion were enrolled in Beilun District Hospital of Traditional Chinese Medicine from June 2014 to June 2016. The patients were divided into observation group (n = 120) and control group (n = 120). The patients in the control group were given routine perioperative nursing measures. The patients in the observation group were given psychological care combined with health education on the basis of routine perioperative nursing. The anxiety scores (HAMA), postoperative complications, The incidence of induced abortion syndrome and nursing satisfaction were compared. Results: Before nursing, there was no significant difference in HAMA scores between the two groups (P> 0.05). HAMA scores of the two groups were significantly lower than those before nursing (P <0.05) , Compared with the control group, the observation group HAMA score decreased significantly after treatment, the difference was statistically significant (P <0.05); in the induced abortion syndrome and postoperative complications, the observation group and the control group were significantly lower, (P <0.05). The nursing satisfaction of the observation group was 96.7% and that of the control group was 80.8%. The difference between the observation group and the control group was statistically significant (P <0.05). Conclusion: The perioperative psychological nursing combined with health education for painless induced abortion patients can help patients to eliminate anxiety and improve their physical and mental status, meanwhile, it can reduce the incidence of complications and improve patient satisfaction Degree, it is worth further clinical promotion.